Patient-Centered Care in Primary Care Scale: Pilot Development and Psychometric Assessment.
Journal
Journal of nursing care quality
ISSN: 1550-5065
Titre abrégé: J Nurs Care Qual
Pays: United States
ID NLM: 9200672
Informations de publication
Date de publication:
Historique:
pubmed:
26
7
2018
medline:
5
2
2019
entrez:
26
7
2018
Statut:
ppublish
Résumé
Nurse contributions to patient-centered care in primary care clinics are all but ignored in standard patient experience surveys. The purpose was to conduct a pilot study to develop and psychometrically assess a scale measuring nurses' and other providers' patient-centered care in Veteran Affairs primary care clinics. We developed a patient experience survey composed of original items and previous studies' items and scales. The survey was field tested online with patients who had a recent clinic appointment. The nonrandom analytic sample comprised 221 patients. Exploratory factor analyses yielded a 36-item, 4-factor solution explaining 76% of the variance. The factors were: (1) Provider Knowing the Person/Individualizing Care (18 items; α = 0.98); (2) Nurse Knowing the Person (8; 0.95); (3) Nurse Individualizing Care (7; 0.94); and (4) Continuity of Care (3; not calculated). A short form with 23 items was created using stepwise regression. It had the same 4 factors as the long form with 76% of the variance explained. Patients reported distinctive nurse contributions that have not been routinely measured.
Sections du résumé
BACKGROUND
BACKGROUND
Nurse contributions to patient-centered care in primary care clinics are all but ignored in standard patient experience surveys.
PURPOSE
OBJECTIVE
The purpose was to conduct a pilot study to develop and psychometrically assess a scale measuring nurses' and other providers' patient-centered care in Veteran Affairs primary care clinics.
METHOD
METHODS
We developed a patient experience survey composed of original items and previous studies' items and scales. The survey was field tested online with patients who had a recent clinic appointment. The nonrandom analytic sample comprised 221 patients.
RESULTS
RESULTS
Exploratory factor analyses yielded a 36-item, 4-factor solution explaining 76% of the variance. The factors were: (1) Provider Knowing the Person/Individualizing Care (18 items; α = 0.98); (2) Nurse Knowing the Person (8; 0.95); (3) Nurse Individualizing Care (7; 0.94); and (4) Continuity of Care (3; not calculated). A short form with 23 items was created using stepwise regression. It had the same 4 factors as the long form with 76% of the variance explained.
CONCLUSIONS
CONCLUSIONS
Patients reported distinctive nurse contributions that have not been routinely measured.
Identifiants
pubmed: 30045359
doi: 10.1097/NCQ.0000000000000341
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM